Individual
MR. RUSSELL LOUIS WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
201 MASSACHUSETTS AVE NE, SUITE C 2, WASHINGTON, DC 20002-4957
(202) 363-8502
Mailing address
201 MASSACHUSETTS AVE NE, SUITE C 2, WASHINGTON, DC 20002-4957
(202) 363-8502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC301379
DC
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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